Hms Mimbres Valley Clinic

LBN: Hidalgo Medical Services
Hms Mimbres Valley Clinic is an health care organization with primary practice located at 2672 Nm Hwy 35 , San Lorenzo NM 88041. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Hidalgo Medical Services can be contacted via phone (575) 800-1467, or through Otero, Daniel via phone (575) 542-2322.

Contact Information

Primary practice address
2672 Nm Hwy 35 San Lorenzo NM 88041
Phone: (575) 800-1467
Fax: (575) 536-3991
Website:
Map and Directions
Authorized official contact:
Name: Otero, Daniel
Phone: (575) 542-2322

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 3256 New Mexico

Profile Details

NPI number 1801889878
LBN Legal business name Hidalgo Medical Services
DBA Doing business as Hms Mimbres Valley Clinic
Authorized official Otero, Daniel
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 25th, 2005
Last updated Jun 12th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801889878 NPPES
New Mexico MEDICAID 69173273

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